NATHAN WILLIAM FARNSWORTH (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1043064249

NATHAN WILLIAM FARNSWORTH (PMHNP) is a healthcare provider. based in Prescott valley, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 304081 (AZ). The NPI Number for NATHAN WILLIAM FARNSWORTH (PMHNP) is 1043064249

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN WILLIAM FARNSWORTH (PMHNP)
NPI
1043064249
Phone
(928) 445-5211
Address
3343 N WINDSONG DR
Enumeration Date
15 April 2024
Last Update Date
15 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9285836411
Graduation Year
2023 (3 years ago)
PAC ID
8123554722
Group Practice PAC ID
3375524358
Professional Enrollment ID
I20241205003585
Address ID
AZ863142283PR3345XDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,504 NURSE PRACTITIONER in AZ

Provider Addresses for NATHAN WILLIAM FARNSWORTH (PMHNP)

  • 3343 N WINDSONG DR

    PRESCOTT VALLEY, AZ 863141213

    Phone: (928) 445-5211

    Type: Mailing

  • 642 DAMERON DR

    PRESCOTT, AZ 863012411

    Phone: (928) 445-5211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($104).

Total Amount

$104

General + Research + Ownership

Payments

1

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241205003585INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 86314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375524358View full group profile

Reviews

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Frequently asked questions

What federal number belongs to NATHAN WILLIAM FARNSWORTH (PMHNP)?
The federal identifier for NATHAN WILLIAM FARNSWORTH (PMHNP) is NPI 1043064249.
Is NATHAN WILLIAM FARNSWORTH (PMHNP) active in the national directory?
NATHAN WILLIAM FARNSWORTH (PMHNP)'s public NPI profile is in an active state.
Does NATHAN WILLIAM FARNSWORTH (PMHNP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for NATHAN WILLIAM FARNSWORTH (PMHNP). Clinical services aligned with this taxonomy classification.
Where is NATHAN WILLIAM FARNSWORTH (PMHNP)'s primary listing?
We display Prescott Valley, Arizona because that is what the record indicates for NATHAN WILLIAM FARNSWORTH (PMHNP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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